摘要
目的探究腰痹逐瘀止痛汤联合中医正骨手法对腰椎间盘突出症患者腰椎功能的影响。方法选取2017年9月—2019年1月收治的88例腰椎间盘突出症患者,根据盲抽法将其分为2组,每组44例,其中对照组采用腰痹逐瘀止痛汤治疗,观察组在对照组基础上采用中医正骨手法治疗,2组均治疗1个月后,比较2组临床效果、腰痛情况及腰椎功能恢复情况。结果治疗后,观察组临床总有效率95.45%,高于对照组77.27%,差异具有统计学意义(P<0.05);治疗后,2组VAS评分均低于治疗前、JOA评分均高于治疗前,且观察组均优于对照组,差异具有统计学意义(P<0.05);治疗后,观察组腰椎功能恢复优良率86.36%高于对照组56.82%,差异具有统计学意义(P<0.05)。结论腰痹逐瘀止痛汤联合中医正骨手法可改善腰椎间盘突出症患者腰椎功能,减轻腰痛症状,提高临床疗效。
Objective To explore the effect of the combined traditional Chinese medicine on the lumbar function of lumbar disc herniation.Methods 88 cases of lumbar disc herniation from September 2017 to January 2019 were divided into two groups according to the method of blind extraction,with 44 cases in each group.The control group was treated with Yaobi Zhuyu Zhitong decoction,and the observation group was treated with traditional Chinese medicine orthopedic manipulation on the basis of the control group.After 1 month of treatment,the clinical effects,lumbago and lumbar function of the two groups were compared.Results The total effective rate of the observation group was 95.45%after the treatment.In the control group,the total effective rate was 77.27%,and the difference was statistically significant(P<0.05).After treatment,the VAS scores of the two groups were lower than that before the treatment,and the JOA score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the excellent and good rate of the lumbar function in the observation group and the control group was 86.36%and 56.82%respectively,and the difference was statistically significant(P<0.05).Conclusion Yaobi Zhuyu Zhitong decoction combined with traditional Chinese medicine orthopedic manipulation can improve the function of the lumbar intervertebral disc,relieve the symptoms of lumbago and improve the clinical curative effect.
作者
王光焱
WANG Guangyan(Orthopedics Department,People's Hospital of Liulin County,Shanxi Province,Lyuliang 033000,China)
出处
《光明中医》
2020年第18期2883-2885,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
腰椎间盘突出症
腰痹逐瘀止痛汤
中医正骨手法
腰椎功能
中医综合疗法
lumbar disc herniation
Yaobi Zhuyu Zhitong decoction
TCM orthodontic manipulation
lumbar spine function
comprehensive therapy of TCM
